Residency Program in Psychiatry and Behavioral Medicine

Night Call

Residents take call at Vidant Medical Center only.

Residents are responsible for planned admissions to the inpatient unit if they arrive after regular business hours. In addition, they provide psychiatric evaluation and consultation for patients presenting to the emergency room and consults in the hospital. A call room is provided.

Our call system is divided into 12 and 14 hour shifts. PGY-1s take short (day) call lasting 14 hours during their 5 inpatient months. This means that the PGY-1 resident on call provides coverage for the inpatient unit for planned admissions or patient emergencies and/or joins the rest of the on call team for consults in the Emergency Department or in the hospital. PGY-2s also provide short call coverage during their Vidant Medical Center inpatient months. PGY-2 and PGY-3 residents share in providing night float coverage. Each resident will have 4 blocks of Night Float, 2 in the PGY-2 year and 2 in the PGY-3 year. Night Float begins at 7:30PM and provides overnight coverage of emergency services. The Night Float resident attends morning check out and then is off for the the day. Residents on Night Float work 4 days per week. PGY-4 residents provide emergency back up call and all residents participate in weekend coverage.

Medicine, Family Medicine, and Pediatrics call is similar. All interns are assigned to the Vidant Medical Center inpatient psychiatry service for the first block of the year in order to transition into residency. In the first months of the academic year the more senior residents serve as "buddies" and work beside the PGY-2 residents in order to smooth their transition into overnight call.

Call is supervised by faculty who are available to discuss all cases, provide teaching and assist the resident with decision making. All cases are discussed with faculty by phone with on site supervision available when needed. We consider call to be an important learning experience for residents. In addition to the supervision provided by the attending on call, a senior resident and attending review emergency room cases with residents the morning following their call night. This gives residents an opportunity to review their clinical work as well as to learn about systems issues, ethical dilemmas and legal concerns that often arise when on call or providing consultation services.